Trauma to the skin, subcutaneous tissue and breast without major complications in California
What 26 hospitals in California charged and were paid for a Medicare hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605), from 2024 Medicare claims.
Average charge
$74,766
Hospital list price billed
Average payment
$10,869
Medicare + patient + other payers
Medicare paid
$8,940
Average per stay
State rank
#22 of 25
1 = lowest average payment
Hospitals in California billed an average of $74,766 for trauma to the skin, subcutaneous tissue and breast without major complications, about 6.9 times the average total payment of $10,869. That payment is 16% above the U.S. average of $9,406.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $10,869Billed $74,766
About 15¢ was paid for every $1 hospitals in California billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in California:
California hospitals: trauma to the skin, subcutaneous tissue and breast without major complications
Every California hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Santa Barbara Cottage HospitalSanta Barbara | 34 | $48,170 | $9,770 | $8,256 |
| Orange County Global Medical CenterSanta Ana | 26 | $51,707 | $10,187 | $8,804 |
| Desert Regional Medical CenterPalm Springs | 22 | $129,985 | $11,601 | $8,851 |
| Sutter Roseville Medical CenterRoseville | 21 | $63,411 | $9,740 | $8,351 |
| Scripps Memorial Hospital la JollaLa Jolla | 21 | $52,406 | $8,890 | $7,336 |
| Los Robles Hospital & Medical CenterThousand Oaks | 21 | $132,095 | $11,003 | $7,459 |
| Cedars-Sinai Medical CenterLos Angeles | 21 | $145,534 | $12,195 | $9,598 |
| Scripps Memorial Hospital - EncinitasEncinitas | 20 | $40,970 | $8,885 | $7,649 |
| Los Angeles Community HospitalLos Angeles | 20 | $38,444 | $9,808 | $8,889 |
| Santa Clara Valley Medical CenterSan Jose | 19 | $71,942 | $15,186 | $13,410 |
| Stanford HospitalPalo Alto | 19 | $165,318 | $16,258 | $12,420 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 17 | $39,954 | $10,325 | $7,344 |
| Memorial Medical CenterModesto | 17 | $51,029 | $9,339 | $7,255 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 16 | $92,482 | $10,148 | $8,712 |
| University of California Davis Medical CenterSacramento | 16 | $113,440 | $14,539 | $10,888 |
| Saint Agnes Medical CenterFresno | 15 | $39,889 | $10,298 | $8,724 |
| Washington HospitalFremont | 15 | $85,754 | $10,561 | $9,234 |
| Torrance Memorial Medical CenterTorrance | 14 | $60,782 | $8,908 | $7,225 |
| Huntington Memorial HospitalPasadena | 14 | $87,074 | $9,634 | $8,359 |
| Oroville HospitalOroville | 13 | $24,794 | $9,360 | $7,281 |
| Community Hospital of the Monterey PeninsulaMonterey | 13 | $74,446 | $10,338 | $9,083 |
| Arrowhead Regional Medical CenterColton | 13 | $110,157 | $15,697 | $13,273 |
| Mission Hospital Regional Med CenterMission Viejo | 13 | $64,426 | $9,282 | $7,776 |
| Centinela Hospital Medical CenterInglewood | 13 | $29,769 | $10,057 | $9,108 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 12 | $45,349 | $11,050 | $9,352 |
| Hollywood Community Hospital of HollywoodLos Angeles | 11 | $55,101 | $9,857 | $8,819 |
Lowest and highest payments in California
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Scripps Memorial Hospital - EncinitasEncinitas, CA | $8,885 |
|---|---|
| Scripps Memorial Hospital la JollaLa Jolla, CA | $8,890 |
| Torrance Memorial Medical CenterTorrance, CA | $8,908 |
| Mission Hospital Regional Med CenterMission Viejo, CA | $9,282 |
| Memorial Medical CenterModesto, CA | $9,339 |
Highest
| Stanford HospitalPalo Alto, CA | $16,258 |
|---|---|
| Arrowhead Regional Medical CenterColton, CA | $15,697 |
| Santa Clara Valley Medical CenterSan Jose, CA | $15,186 |
| University of California Davis Medical CenterSacramento, CA | $14,539 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $12,195 |
Trauma to the skin, subcutaneous tissue and breast without major complications in other states
Questions
How much does trauma to the skin, subcutaneous tissue and breast without major complications cost in California?
In 2024 Medicare data, a hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605) at 26 hospitals in California was billed at $74,766 on average, while the average total payment was $10,869, of which Medicare paid $8,940. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in California, average charges were 6.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.